Racine, Susan M.
Racine, Susan M. is an individual health care provider with primary practice located at 133 Brookline Ave Internal Medicine, Boston MA 02215-3904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Racine, Susan M. can be contacted via phone (617) 421-8843.Contact Information
Primary practice address
133 Brookline Ave Internal Medicine
Boston MA 02215-3904
Phone: (617) 421-8843
Fax: (617) 421-2040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 79141 | Massachusetts |
Profile Details
| NPI number | 1316936495 |
|---|---|
| LBN Legal business name | Racine, Susan M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Nov 17th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316936495 | NPPES |
| Massachusetts | MEDICAID | 3078230 |
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